Table 1. Parameter estimates for calculating the cost of diarrheal illness during the cryptosporidiosis outbreak, Milwaukee, Wisconsin, 1993.
Parameter | Mild illnessa | Moderate illness | Severe illness |
---|---|---|---|
% of infected persons with diarrhea |
87.99 (6) |
10.92 (6) |
1.09 (6) |
Medical costs
|
|
|
|
Inpatient healthcare costs |
|
|
|
% with hospitalization |
|
|
100 |
Cost of hospitalization |
– |
– |
$6,312b |
Outpatient healthcare costs |
|
|
|
% with physician visit |
|
95c |
29b |
Cost of physician visit |
– |
$45d |
$45d |
% with emergency department visit |
|
5b |
|
Cost of emergency department visit |
– |
$224b |
|
Ambulance transport |
|
|
|
% of emergency department visit/hospitalization with ambulance transport |
– |
4.9b |
16.3b |
Cost of ambulance transport |
– |
$228 (11)c |
$228 (11)c |
Medication |
|
|
|
Self-medication before seeking healthcare |
|
|
|
Duration of illness before seeking health care, mean days |
4.7e |
5.8b |
18.4b |
% taking medication |
30c |
30b |
29b |
Cost of medication |
$5.73 (12)c |
$5.92 (12)c |
$6.74 (12)b |
Medication prescribed after seeking healthcare |
|
|
|
% taking medication |
— |
54b |
48b |
Cost of medication |
|
$8.91 (12)b |
$70.52 (12)b |
Recurrent episodes |
|
|
|
% with recurrent episodes (and assuming 100% take medication) |
21 (7) |
21 (7) |
21 (7) |
Duration of recurrent episodes, mean d |
2 (8) |
2 (8) |
2 (8) |
Cost of medication |
$2.44 (12)c |
$2.44 (12)c |
$2.44 (12)c |
Productivity losses
|
|
|
|
Productivity losses for ill persons, mean d |
1.3e |
3.8e |
13.5e |
Productivity losses for caregivers, mean d |
0.1e |
1.3e |
3.9c |
Earnings lost/d | $81 (13) | $81 (13) | $81 (13) |
aReference nos. are in parentheses. bMedical chart review. cAuthor assumption. dCity of Milwaukee Health Department. eRandom digit dial survey conducted by the City of Milwaukee Health Department.